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A Rare Case of Sagittal Sinus Obstruction Following Posterior Cranial Vault Distraction Osteogenesis
Gabriel M Hayek1, Hwi Sean Moon2, Violeta Radenovich3
1Fellow in Cleft and Craniofacial Surgery, El Paso Children's Hospital, El Paso, TX, USA.
Insights
Posterior cranial vault distraction osteogenesis (PCVDO) offers improved intracranial volume for syndromic craniosynostosis. This rare case highlights potential sagittal sinus obstruction, prompting review of surgical safety.
Area of Science:
- Neurosurgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Posterior cranial vault distraction osteogenesis (PCVDO) is an emerging technique for syndromic craniosynostosis, introduced in 2009.
- PCVDO aims to correct underdeveloped cranial vaults and increase intracranial volume more effectively than traditional methods.
- While generally reported as safe, PCVDO is uncommon, necessitating further critical appraisal of complication rates.
Abstract:
Posterior cranial vault distraction osteogenesis (PCVDO) is a relatively new paradigm in the treatment of syndromic craniosynostosis, having first been introduced in 2009. PCVDO directly addresses the underdeveloped cranial vault and appears to allow for a larger increase in intracranial volume when compared to traditional techniques. Although reported as safe in the literature, critical appraisal is still required as PCVDO is a relatively uncommon procedure that may require greater numbers to detect true complication rates. The overall reported incidence of serious complications in PCVDO to date is low. This presentation highlights a rare case of sagittal sinus obstruction following posterior cranial vault distraction and raises questions as to the safest technical considerations when planning the operation.
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